Memory Complaints in Older Adults

Bolla, Karen I.; Lindgren, Karen N.; Bonaccorsy, Cathy; Bleecker, Margit L.

doi:10.1001/archneur.1991.00530130069022

Cited by 299 publications

(213 citation statements)

References 16 publications

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“…A further limitation of this study was the lack of information regarding either patients' or informants' mood. Previous studies have suggested the presence of depression in the patient and informant can affect the degree of discrepancy between raters (Rubenstein et al, 1984;Epstein et al, 1989;O'Conner et al, 1990;Bolla et al, 1991). Finally, some authors have suggested that executive functioning or frontal lobe functioning may be particularly associated with a loss of awareness of deficit that can lead to discrepancies in self-vs other-reporting (Reed et al, 1993;Michon et al, 1994).…”

Section: Discussionmentioning

confidence: 99%

Degree of discrepancy between self and other‐reported everyday functioning by cognitive status: dementia, mild cognitive impairment, and healthy elders

Farias

Mungas

Jagust

2005

Int J Geriat Psychiatry

254

222

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SUMMARYBackground-Previous studies show individuals with dementia overestimate their cognitive and functional abilities compared to reports from caregivers. Few studies have examined whether individuals with Mild Cognitive Impairment (MCI) also tend to underestimate their deficits. In this study we examined whether degree of discrepancy between patient and informant-reported everyday functioning was associated with cognitive status.

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Section: Discussionmentioning

confidence: 99%

Degree of discrepancy between self and other‐reported everyday functioning by cognitive status: dementia, mild cognitive impairment, and healthy elders

Farias

Mungas

Jagust

2005

Int J Geriat Psychiatry

254

222

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“…Older adults are fearful of losing memory ability, and studies indicate that declining memory is one of the most widespread complaints about aging (Bolla, Lindgreen, Bonaccorsy, & Bleecker, 1991;Grut, Jorm, & Fratiglioni, 1993). This fear is based on the reality that memory declines with age (Rinn, 1988).…”

Section: Introductionmentioning

confidence: 99%

“…Studies by the Assisted Living Facilities Association of America found that 30 to 40 percent of assisted living residents had Alzheimer's disease or other dementing illnesses. A survey of 33 assisted living facilities in Massachusetts by Stocker and Silverstein (1996) determined that 50 percent of the discharges to nursing homes were for cognitive decline and 60 percent were for functional decline.Older adults are fearful of losing memory ability, and studies indicate that declining memory is one of the most widespread complaints about aging (Bolla, Lindgreen, Bonaccorsy, & Bleecker, 1991;Grut, Jorm, & Fratiglioni, 1993). This fear is based on the reality that memory declines with age (Rinn, 1988).…”

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confidence: 99%

Memory Improvement in Assisted Living Elders

McDougall

2000

Issues in Mental Health Nursing

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The Cognitive Behavioral Model of Everyday Memory (CBMEM), an eight-session cognitive enhancement program, entitled "MEMORIES, MEMORIES, Can We Improve Ours?" was tested with older adults living in an assisted living facility in the Middle West. The aims of this quasiexperimental study were: to improve everyday memory, memory self-efficacy, and metamemory. A total of 19 older adults (14 female, 5 male) with an average age of 83 years and an average MMSE score of 26 participated. At pretest there were 16 individuals in the experimental and 3 individuals in the comparison group. There were no differences between experimental and comparison groups on the study variables. The experimental group was post tested at one week after completing the intervention. At posttest memory self-efficacy scores significantly increased in the experimental group (M 1 = 52.13, M 2 = 68.50). Total memory performance scores were not significantly different at posttest; however the prospective memory items of asking for an appointment (M 1 =.56, M 2 =1.25), asking for a belonging M 1 =.62, M 2 =.88), and delivering a message (M 1 =1.00, M 2 =1.19) significantly improved.There is growing demand from residents of assisted living and their family members to allow these residents to "age in place," rather than moving them from assisted living to nursing home settings. Yet, the average assisted living resident, 84 years of age and requiring help with ADLs and IADLs, today looks like the average nursing home resident of ten years ago (Furner, Rudberg, & Cassel, 1995; Morton, 1995). About 15 percent exhibit daily incontinence, and 63 percent need medication reminders. Elders in long-term care facilities are at-risk for decreasing cognitive ability and are particularly vulnerable to the devastating effects of depression (Hayslip, Kennelly, & Maloy, 1990). McDougall and Balyer (1998) described this phenomenon as mental frailty. Studies by the Assisted Living Facilities Association of America found that 30 to 40 percent of assisted living residents had Alzheimer's disease or other dementing illnesses. A survey of 33 assisted living facilities in Massachusetts by Stocker and Silverstein (1996) determined that 50 percent of the discharges to nursing homes were for cognitive decline and 60 percent were for functional decline.Older adults are fearful of losing memory ability, and studies indicate that declining memory is one of the most widespread complaints about aging (Bolla, Lindgreen, Bonaccorsy, & Bleecker, 1991;Grut, Jorm, & Fratiglioni, 1993). This fear is based on the reality that memory declines with age (Rinn, 1988). A complicating factor, however, in the relationship between perceived memory loss and actual memory performance is depression (Dellefield & McDougall,1996;Lichtenberg, Ross, Millis, & Manning, 1995;Nussbaum & Sauer, 1993). The confounding effects of depression have particular relevance for episodic remembering in very old adults (Backman, Hassing, Forsell, & Viitanen, 1996 Long-term care residents have major depressive ...

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“…Moreover, self-report can reflect bias, for example, exaggeration or diminution of symptoms (10). It has been suggested that mood states, particularly that of depression, influence patients' perceptions and self-reporting of cognitive status (11)(12)(13). In these studies, increased complaints of problems with memory have been associated with abnormalities of the mood state.…”

mentioning

confidence: 99%

Quality of Life Self‐Assessment as a Function of Lateralization of Lesion in Candidates for Epilepsy Surgery

2001

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Summary:Purpose: This prospective study aimed to investigate the relationship(s) of the laterality of the epileptogenic lesion to personality factors, emotional processing, and the subjective experience of quality-of-life (QOL) self-assessment in candidates for epilepsy surgery.Methods: Patients who were candidates for epilepsy surgery were studied. Eighteen of them (aged 19-61 years) had localization-related epilepsy in the right temporal lobe (RTLE), 18 (aged 21-50 years) had localization-related epilepsy in the left temporal lobe (LTLE), and 20 were demographically matched normal subjects. The Spielberger Trait/State Anxiety questionnaire and the QOLIE-31 questionnaire for selfassessment of quality of life were used. One-way analysis of variance, Pearson correlations, and linear regression analyses were performed on group and anxiety levels and QOLIE variables.Results: LTLE patients systematically showed higher levels of anxiety and lower self-estimates of the quality of their lives when compared with RTLE patients. All anxiety measures were highly correlated with Total QOL in LTLE (p < 0.05) but not in RTLE patients; however, different parameters of QOL showed different relationships with measures of anxiety. Results of multiple regression analyses suggested that the level of anxiety was relatively stable and less affected by QOL factors in LTLE as compared with RTLE patients (p ‫ס‬ 0.03).Conclusions: A high level of anxiety shown by LTLE patients may represent a personality trait and cause a response bias in overreporting of negative symptoms and a decreased self-assessment of QOL. It may also present a presurgical risk factor, particularly for patients with LTLE lesions. Appropriate patient counseling is advised.

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Memory Complaints in Older Adults

Cited by 299 publications

References 16 publications

Degree of discrepancy between self and other‐reported everyday functioning by cognitive status: dementia, mild cognitive impairment, and healthy elders

Degree of discrepancy between self and other‐reported everyday functioning by cognitive status: dementia, mild cognitive impairment, and healthy elders

Memory Improvement in Assisted Living Elders

Quality of Life Self‐Assessment as a Function of Lateralization of Lesion in Candidates for Epilepsy Surgery

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